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Isis Wins $2M Milestone Payment from GSK for Antisense Drug Candidate

Isis Pharmaceuticals said today it won a $2 million milestone payment from GlaxoSmithKline (GSK) related to advancement of an ongoing Phase II/III study of ISIS-TTRRx, an antisense drug being developed with the pharma giant for the rare genetic disease transth

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Isis Pharmaceuticals said today it won a $2 million milestone payment from GlaxoSmithKline (GSK) related to advancement of an ongoing Phase II/III study of ISIS-TTRRx, an antisense drug being developed with the pharma giant for the rare genetic disease transthyretin (TTR) amyloidosis.

The payment represents the second milestone payment attained this year, and the first portion of up to $50 million in milestone payments for which Isis is eligible based on the progress of the Phase II/III study. ISIS-TTRRx, which inhibits the production of the carrier protein TTR, is being assessed for patients with familial amyloid polyneuropathy (FAP), the indication for which FDA has granted Isis fast-track designation and orphan drug status.

Isis has already received $20 million in up-front and milestone payments before the dosing of the first patient in the Phase II/III study. That includes a $7.5 million payment Isis earned in February upon initiation of the study.

If GSK elects to exercise its option to exclusively license the ISIS-TTRRx program, Isis would also be eligible to receive a license fee, additional regulatory and sales milestone payments, and double-digit royalties on sales of ISIS-TTRRx.

The Phase II/III study of ISIS-TTRRx is a 15-month randomized, double-blind, placebo-controlled, international trial designed to measure the effects of ISIS-TTRRx given to patients for 65 weeks on neurological dysfunction and quality of life. The study (NCT01737398) was recruiting patients as of July 19, according to ClinicalTrials.gov.

Isis’ pipeline includes 28 drugs designed for a variety of diseases, with emphasis on cardiovascular, metabolic, severe and rare diseases, and cancer. The company’s lead product, the once-weekly injection anti-LDL cholesterol drug Kynamro, is being commercialized by collaboration partner Genzyme for patients with the rare genetic condition homozygous familial hypercholesterolemia (HoFH).

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Related questions

01How stable is the antibody?

A crucial question often addressed during preclinical development focuses on the in vivo stability of therapeutic antibodies. Increasing the half-life of a therapeutic antibody has several benefits ranging from higher treatment efficacy to increased advantages for the patients who will have a fewer number of therapy sessions and a reduced cost. Given these compelling benefits, following the identification of therapeutic antibodies with the desired specificity, developers usually subject them to a refinement step to increase their stability. This process is often hindered by the lack of reliable experimental tools to predict the half-life of antibodies in patients. The major hurdle of using mouse models to predict antibody stability in the serum lies in the way immunoglobulin proteins are processed by the organism. In mammals, most proteins circulating in the serum undergo constant uptake by endothelial cells and are routed through the endosomes to the lysosomal compartment for degradation. In the endosomes, immunoglobulin G (IgG) proteins are recognized and bound by a transmembrane protein, called the neonatal Fc receptor (FcRn), which mediates their recycling to the plasma membrane and subsequent release back into the serum. As a result, the half-life of IgGs are significantly extended by this mechanism. Since most therapeutic antibodies belong to the IgG class, this recycling system is very relevant for their relative stability in the body. Remarkably, the relative affinity between IgGs and FcRn is extremely disparate between different species, with the mouse receptor showing a much higher affinity than its human counterpart.

Source: www.genengnews.com ↗
02Undruggable or unscreenable?

Another obstacle to discovering new PPI inhibitors is the lack of libraries designed to hunt for them, points out Philippe Roche, PhD, senior scientist at the Integrative Structural and Chemical Biology team at the Cancer Research Center of Marseilles, France. “If you screen PPIs using libraries that were designed for kinases or GPCRs, that’s why you don’t get a lot of good results,” he says. To that end, his group began assembling a library focused on orthosteric inhibitors of PPIs. The result was 2P2Idb, a hand-curated, structural database cataloguing orthosteric inhibitors of PPIs for which the interface had been 3D characterized. From analyzing these known PPI inhibitors, and what structures they had in common, Roche and his colleagues developed a model to predict whether compounds would likely inhibit PPIs. Using this method, 2P2Idb creates an enriched screening library that dramatically increases the hit rate compared to standard libraries. Having proven their success with a small library of 1600 compounds, they are in the process of expanding the library to 10,000 compounds. Once that’s published, “the idea is to make this library available to labs around the world,” Roche says. “We will provide the library free of charge for people to be able to screen PPI targets.”

Source: www.genengnews.com ↗
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Peptide Therapy Guide Editorial Team

Editorial team for Peptide Therapy Guide.

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